Organization Active NPI

Hometown Family Healthcare

  • Primary Care Clinic/Center
  • Chelsea, OK
National Provider Identifier
1982213666
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOMETOWN FAMILY HEALTHCARE
Doing business as
Hometown Family Healthcare
Practice address
301 W 6TH St
Chelsea, OK 74016-1637
Phone
(918) 789-8300
Fax
(918) 789-8300
NPI assigned
Jul 28, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Dawn McNitt, APRN-CNPNPI 1487122347
Title
Owner/Practitioner
Phone
(918) 789-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

301 W 6TH St
Chelsea, OK 74016-1637

Mailing address

301 W 6TH St
Chelsea, OK 74016-1637
Phone (918) 789-8300

Other identifiers 2

IdentifierTypeStateIssuer
1487122347OtherINDIVIDUAL NPI
200813930AMedicaidOK

Other names 1

  • Hometown Family Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hometownfamilyhealthcare@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915000814 OK Part B Supplier - Clinic/Group Practice 7012335649 Receives reassigned benefits from 2 practitioners
Practice locations: Chelsea, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2196154Hometown Family Healthcare301 W 6TH St, Chelsea, OK 74016Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

301 W 6th St
Chelsea, OK 74016
Phone (918) 789-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1982213666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 6TH ST",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161637",
            "telephone_number": "918-789-8300",
            "fax_number": "918-789-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 6TH ST",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161637",
            "telephone_number": "918-789-8300",
            "fax_number": "918-789-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MCNITT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "918-789-8300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487122347",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200813930A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hometownfamilyhealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9406 W 430",
            "city": "Pryor",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743617795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hometown Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.